As a Consultant specialising in Neurosciences Intensive Care Medicine I regularly prepare medicolegal reports concerning the management of serious brain and spinal condition. These include cases of traumatic injuries (road traffic incidents, assaults, industrial accidents etc), strokes, subarachnoid and intracerebral haemorrhages, epilepsy, myasthenia gravis.
I have assisted the Court in the context of civil litigation with a 60:40 claimant / defendant split. I have acted as a single joint expert for the Court. I have been instructed by the National Crime Agency
My expert opinion has also been sought regarding end-of-life decision making, determination of best interests and as a mediator between hospital staff and next-of-kin.
I have provided training and educational material for local and national firms of solicitors.
- I was appointed in Southampton in 2002. I was the first director of the 13 bedded dedicated neurosciences intensive care unit (NICU), from 2002 until 2010 and continue to have clinical sessions on the NICU.
- The NICU provides specialist intensive care for neurology and neurosurgical services, covering a population of 3 million. The unit also provides general intensive care for non-neurosciences patients when they cannot be accommodated elsewhere.
- The NICU is one of the best performing specialist ICUs in the country for the management of traumatic brain injury and subarachnoid haemorrhage.
- From 2002-2010 I chaired the directorate review into untoward clinical outcomes and I have acted as an independent adviser to other NHS Trusts regarding adverse outcomes.
- During my period as director of NICU, I led the development of Critical Care Technicians to perform many of the tasks previously undertaken by junior doctors. This resulted in the development of a training programme and we currently have seven technicians on NICU.
- I worked with the charity, Smile4Rich to fund a dedicated NICU ambulance. This more than halved the days lost in delayed repatriations of patients from NICU.
- From 2010-2015 I was the director of major trauma at Southampton General Hospital which is one of 12 major trauma centres designated for both adults and children in England. I led the commissioning, budgeting and appointments required before go live in April 2012.
- I had responsibility for the care of all major trauma cases throughout the Wessex region and led the development of the Wessex Trauma Network.
- I was a member of the Department of Health (DH) Clinical Advisory group for the development of trauma networks. I remain an external assesser for major trauma networks.
- I was a member of the Clinical Reference Group for Major Trauma at the DH.
- I have recently been part of a National review panel for spinal cord injury care in England.
- With two colleagues, I successfully led the establishment of a 24 hour helipad at Southampton General Hospital. With Prof. Rob. Crouch I have established a Masters programme in Trauma Sciences at the University of Southampton.
- I was a founder member and the College of Emergency Medicine’s representative for the Donation Advisory group for NHS Blood and Transplant, a founder member of EPIC (Emergency Physicians in Intensive Care) and the Critical Care subgroup of the Association of British Neurologists.
- I am an examiner for the FFICM examination for the Faculty of Intensive Care Medicine and the final FRCS (Neurosurgery) for the Royal College of Surgeons.
- I am a Trustee of the Hampshire and Isle of Wight Air Ambulance charity
Current appointment: Consultant in Neurosciences Intensive Care, Honorary Associate Professor
Qualifications: BSc (Hons), MBBS (Hons), MD, FRCP, FRCEM, FFICM, EDICM, FHEA
Key specialities: Neurosciences ICU
Services offered: Expert reports, Evidence in Court, Single joint expert